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The PerforMEDSM care management model incorporates the best practices in intensive case management, disease management and care coordination.  This holistic approach allows us to maximize the care for our members in this program.

The Problem

• Rising Medicaid costs
• Risk bearing entities realize conventional medical management does not work and are looking for a solution.

The Solution: The PerforMEDSM Model

• Focused on Medicaid only; with over 24 years of experience addressing the unique health issues faced by this population
• Flexible, customized program design based on output from predictive modeling and blended with the target objectives of the State Medicaid office or health plan
• Combines traditional elements of care, including primary care, disease education and case management, behavioral health coordination with predictive modeling technology
• Focuses resources on those recipients predicted to have the highest future costs
• Employs purposeful interventions designed to prevent avoidable episodes of care
• Results in demonstrated cost savings by reducing hospital admissions and emergency room visits
• Designed for health plan and government settings